Organization
BATES DRUG STORES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMAS CORDIER (CEO)
(509) 489-4500
Entity
Organization
Contact information
Practice address
3704 N NEVADA ST, SPOKANE, WA 99207-2968
(509) 489-4500
(509) 489-4330
Mailing address
3704 N NEVADA ST, SPOKANE, WA 99207-2968
(509) 489-4500
(509) 489-4330
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
CF00057208
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6088801
—
WA
01
—
CF00057208
RETAIL PHARMACY LICENSE
WA
01
—
FLOOO5793
PHARMACY LIESENCE NUMBER
WA
Enumeration date
08/09/2005
Last updated
08/22/2020
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